| Doctor Name: | MR. CHARLES EDWARD JONES |
| NPI Number: | 1417280439 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICENSE PROFESSIONAL |
| License Number: | APC001652 |
| Business Practice Address: | 114 East Hall St Thomson, GA - 30824 |
| Business Phone Number: | 7065971777 |
| Business Fax Number: | 7065970955 |
| Mailing Address: | P.o. Box 1113, 114 East Hall St THOMSON |
| State: | GA |
| Postal Code: | 30824 |
| Phone Number: | 7065971777 |
| Fax Number: | 7065970955 |
| NPI Enumeration Date: | 09/09/2009 |
| NPI Last Update Date: | 02/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | APC001652 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |